Individual provider Active NPI

Emilia Rose Maycock, CMSW, LIMHP

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1689396509
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2501 Issued in NE
Practice address
8333 Cass St
Omaha, NE 68114-3529
Phone
(402) 320-7014
Fax
(402) 702-0538
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2501 NE Primary
Mental Health Counselor 101YM0800X 4040 NE

Addresses

Primary practice location

8333 Cass St
Omaha, NE 68114-3529

Mailing address

8333 Cass St
Omaha, NE 68114-3529
Phone (402) 320-7014

Other identifiers 2

IdentifierTypeStateIssuer
10028192902MedicaidNE
10027541904MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518001491 NE Practitioner - Mental Health Counselor 6800365016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 St Andrews CT
Treynor, IA 51575-7400

8333 Cass St
Omaha, NE 68114-3529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4040NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soulutions Therapy, LLC Mental Health CurrentSince May 12, 2026 Accepting new patients
Mind Over Matter Counseling Services LLC Past Accepting new patients

Locations

8333 Cass St
Omaha, NE 68114
Phone (402) 940-7387

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1689396509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143529",
            "telephone_number": "402-320-7014",
            "fax_number": "402-702-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143529",
            "telephone_number": "402-320-7014",
            "fax_number": "402-702-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCOCK",
        "first_name": "EMILIA",
        "middle_name": "ROSE",
        "credential": "CMSW, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2501",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028192902",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027541904",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.